Subacute Effects of Spinal Mobilization to Treat Subacromial Impingement



Status:Completed
Conditions:Orthopedic
Therapuetic Areas:Orthopedics / Podiatry
Healthy:No
Age Range:18 - 50
Updated:4/21/2016
Start Date:September 2012

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Subacute Effects of Cervicothoracic Spinal Manipulation in Addition to Shoulder Manual Therapy Plus Exercise Intervention in Individuals With Subacromial Impingement Syndrome: a Randomized, Controlled Clinical Trial Pilot Study

Specific Aims and Hypotheses Aims To investigate the incremental benefits of cervicothoracic
spinal manipulation in addition to shoulder mobilization and exercise for improving range of
motion, pain, physical function and fear avoidance beliefs in patients with subacromial
shoulder impingement.

Hypotheses It is hypothesized that those subjects who receive spinal manipulation in
addition to shoulder mobilization and exercise will achieve greater improvements in range of
motion, pain, function and fear avoidance beliefs at two weeks following treatment
conclusion, at 4 weeks following treatment conclusion, and at discharge when compared to the
subjects who did not receive the spinal manipulation.


Inclusion Criteria:

- To be eligible, participants must meet the clinical prediction rule for unilateral
subacromial shoulder impingement including: a) positive Hawkins-Kennedy impingement
sign, b) positive painful arc sign, and c) weakness in external rotation with the arm
at the side

Exclusion Criteria:

- Individuals with contraindications to treatment with mobilization and manipulation
(Appendix A) will be excluded
We found this trial at
3
sites
Johnson City, Tennessee 37614
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2035 W Taylor St
Chicago, Illinois
(312) 996-4350
University of Illinois at Chicago A major research university in the heart of one of...
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Elizabethton, Tennessee 37643
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